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JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards of care, policies, and procedures. Demonstrates performance...

Registered Nurse (RN) - PRN/Not Remote Rivendell Behavioral Health Servicesis an 80-bed full-service behavioral healthcare acute care facility located in Benton, AR, that has been providing quality health care to the residents of Arkansas...

Performs various aspects of patient care within assigned patient care unit under direct supervision of a Registered Nurse. ResponsibilitiesAdministers general nursing care to ambulatory patients in an assigned area under the...

CVS Health is seeking an experienced Medicare Precertification Utilization Management Nurse Consultant (RN) to support coverage determinations remotely. The role requires collaborating with providers and care teams to coordinate treatment plans...

BHU Intake Nurse Coordinator (RN)Job Title: BHU Intake Nurse Coordinator (RN) - Per Diem: 1 shift per week, weekend availability requiredBase Rate: $41.73- $61.3512 hr. shifts- paid overtime after 8 hours, resulting in an average rate of $48.69 -...

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the...

Centene Corporation in Wisconsin is seeking an Appeals Liaison to coordinate statewide appeals, fair hearings, and external reviews. You will ensure letters meet State and NCQA requirements and work with Medical Directors to clarify medical...

Cascadia Healthcare is seeking an experienced PDPM Clinical Resource Nurse (RN or LPN) to support multiple skilled nursing facilities in the region. You will serve as a clinical and reimbursement resource, helping 15–25 facility teams understand...

Project 180 is seeking a Resident Aide (Certified Nursing Assistant/Medical Assistant) for Kohler House. This role supports interim housing clients, promoting independence in daily living activities and adherence to program policies. It...

To ensure timely and accurate care decisions, the full-time Utilization Review Nurse LVN/LPN will perform clinical reviews for medical necessity and benefit coverage, applying clinical guidelines and maintaining compliance in a remote work...

Nurse Practitioner PRNAt Houston Methodist, the Nurse Practitioner PRN position is responsible for functioning as a licensed registered nurse and care provider to provide all aspects of patient care, including diagnosis, treatment and consultation...

Cleveland Clinic is seeking an Utilization Management RN Reviewer to support remote operations from home. The role covers admission and concurrent reviews, and ensures medical necessity criteria are applied to hospital stays and discharges.

Certified Nursing Assistant (CNA) Coordinator Professional ExpertGlendale Community College is currently accepting applications for a Certified Nursing Assistant (CNA) Coordinator Professional Expert.Examples of DutiesProvides support in managing...

Aesthetic Registered Nurse $50/hr base + $5/hr weekend differential Fixed schedule No overnights You'll be the clinical expert patients trust to achieve results they didn't think were possible without surgery —...

Inova Health System is seeking a Registered Nurse (RN) for Virtual Acute Care in Virginia. This full-time role requires 36 hours weekly with a rotating schedule and four weekend shifts every six weeks. One day of remote work is available after 6...

Join our exceptional team at The Meadows Post Acute, a premier facility with 98 beds. Experience personalized care, tailored rehabilitation programs, and top-notch skilled nursing. Relax in our modern environment with amenities like satellite TV...

*Job Summary and Responsibilities* As our Clinical Nurse, you will be a central figure in our patient care team, delivering exceptional, compassionate care that truly makes a difference in our patients' lives. Every day you will collaborate...

Saint Joseph Health System is seeking an RN Utilization Review specialist for a part-time, remote PRN role that requires on-site training in Mishawaka, Indiana. The position emphasizes reviewing medical necessity, insurance requirements, and...

About the Job ASSIGNMENT SUMMARY: The Registered Nurse (RN) will be responsible for coordinating, implementing and supervising all nursing and personal care services at the Adult Day Health Care Center. The...

TRISTAR Company is seeking an experienced Utilization Review Nurse for a fully remote role across all states. The job focuses on workers' compensation utilization review—prospective, concurrent, expedited, and retrospective reviews—to...

About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark , General Catalyst , Peter Thiel , Adam D'Angelo , Larry Summers , and Jack...

The Ohio State University is seeking a Staff Nurse (RN) for Oncology Continuing Care Triage. This remote phone triage role handles oncology patient calls, performs initial assessments, and uses triage algorithms to guide care. The nurse documents...

Los Angeles Jewish Health is seeking a Certified Nurse Assistant (CNA) in Reseda, CA to support residents with daily living activities and monitor health needs on site. The role offers multiple employment types (Full-Time, Part-Time, Per-Diem) and...

FullShift Staffing is seeking a certified nursing assistant to provide routine nursing care under the direction of nursing leadership. The role requires a CNA license and at least 6 months of CNA experience or clinical CNA training, and the...